Case 4-2011 — A 4-Year-Old Boy with Back Pain and Hypercalcemia  

Oleh:

Saleeby, Chadi M. El ; Grottkau, Brian E. ; Friedmann, Alison M. ; Westram, Sjirk J.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 06 (Feb. 2011), page 552-562.
Topik: Pain in Lower Back and Buttocks

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Presentation of Case Dr. Lisa Charo Bain (Pediatrics): A 4-year-old boy was admitted to this hospital because of back pain and refusal to walk. One week before admission, the patient fell from a single step, after which he reported pain in his lower back and buttocks, which worsened during the following week and was not relieved by acetaminophen. He walked less and slept more than usual. Three days before admission, he was unable to walk more than two steps before falling. His family took him to the emergency department of another hospital. Radiographs of the hips were reportedly normal, and he was discharged home with acetaminophen for pain. Two days before admission, the patient was found lying on his side in the bathroom, crying; he refused to walk or stand and needed assistance with sitting, because of low back pain. He appeared hot and flushed and asked that shouting be stopped, although there was no shouting; a temperature was not recorded. The next day, the temperature rose transiently to 37.8°C, and oral intake and urine output decreased. On the day of admission, he refused to get out of bed, and his parents brought him to the emergency department of this hospital.

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